早期与晚期的肠道准备对于疑似急性转性出血:一项回顾性研究
Syed Rahman1, Kyle Schneider1, Hassan Allahrakha1
1Internal Medicine, Methodist Health System, Dallas, USA.
Cureus
|July 28, 2025
概括
对于分泌器出血患者的早期肠道准备减少了结肠镜和住院时间. 这种方法可能有助于更快地识别出血,避免不必要的手术,并促进更快的出血.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 医学结果的医学结果.
背景情况:
- 垂直流血 (DB) 是住院患者胃肠道 (GI) 流血的主要原因.
- 对DB的最佳管理策略对于改善患者的治疗结果和资源利用至关重要.
研究的目的:
- 调查早期肠道准备 (EBP) 与晚期肠道准备 (LBP) 对急性DB患者医院资源利用率和临床结果的影响.
- 确定EBP是否可以减少侵入性手术的需要,缩短住院时间.
主要方法:
- 从2019年1月到2023年7月,对134名急性DB患者的回顾性分析.
- 患者被分为EBP (24小时内),LBP (24小时后) 和没有肠道准备 (NBP) 组.
- 使用千平方和T测试的统计分析比较了包括停留时间,再入院,输血和诊断程序在内的结果.
主要成果:
- 与LBP (84.62%) (P=0.01) 相比,EBP组的结肠镜检查显著减少 (56.86%).
- 趋势表明EBP组的住院时间更短 (4.82 vs. 5.27天) 和更快的解决时间 (2.94 vs. 3.58天),尽管在统计学上并不显著.
- 在再接收率,包装红细胞 (pRBC) 输血或整体成像利用率方面没有发现显著差异.
结论:
- 在分管出血患者的早期肠道准备与大肠镜显著减少有关.
- EBP显示了提高效率的趋势,医院住院时间缩短,解决时间更快.
- EBP可能能够更快地识别出血,从而有可能简化患者的出院并避免不必要的内镜干预.
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